Exam 25: Nursing Management: Obstructive Pulmonary Diseases

A young adult patient who denies any history of smoking is seen in the clinic with a new diagnosis of chronic obstructive pulmonary disease (COPD).It is most appropriate for the nurse to teach the patient about

A patient who is experiencing an asthma attack develops bradycardia and a decrease in wheezing.Which action should the nurse take first?

The nurse develops a teaching plan to help increase activity tolerance at home for an older adult with severe chronic obstructive pulmonary disease (COPD).Which instructions would be most appropriate for the nurse to include in the plan of care?

A young adult female patient with cystic fibrosis (CF)tells the nurse that she is not sure about getting married and having children some day.Which initial response by the nurse is best?

The nurse completes an admission assessment on a patient with asthma.Which information given by patient is most indicative of a need for a change in therapy?

Which nursing action for a patient with chronic obstructive pulmonary disease (COPD)could the nurse delegate to experienced unlicensed assistive personnel (UAP)?

The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD).Which information obtained from the patient would prompt the nurse to consult with the health care provider before administering the prescribed theophylline?

A young adult patient with cystic fibrosis (CF)is admitted to the hospital with increased dyspnea.Which intervention should the nurse include in the plan of care?

The nurse takes an admission history on a patient with possible asthma who has new-onset wheezing and shortness of breath.Which information may indicate a need for a change in therapy?

The clinic nurse makes a follow-up telephone call to a patient with asthma.The patient reports having a baseline peak flow reading of 600 L/minute and the current peak flow is 420 L/minute.Which action should the nurse take first?

A patient who is experiencing an acute asthma attack is admitted to the emergency department.Which assessment should the nurse complete first?

Postural drainage with percussion and vibration is ordered twice daily for a patient with chronic bronchitis.Which intervention should the nurse include in the plan of care?

The nurse is admitting a patient diagnosed with an acute exacerbation of chronic obstructive pulmonary disease (COPD).What is the best way for the nurse to determine the appropriate oxygen flow rate?

A patient with chronic obstructive pulmonary disease (COPD)has poor gas exchange.Which action by the nurse would be most appropriate?

The emergency department nurse is evaluating the effectiveness of therapy for a patient who has received treatment during an asthma attack.Which assessment finding is the best indicator that the therapy has been effective?

The nurse assesses a patient with a history of asthma.Which assessment finding indicates that the nurse should take immediate action?

The nurse interviews a patient with a new diagnosis of chronic obstructive pulmonary disease (COPD).Which information is most helpful in confirming a diagnosis of chronic bronchitis?

Which assessment finding in a patient who has received omalizumab (Xolair)is most important to report immediately to the health care provider?

A patient in the clinic with cystic fibrosis (CF)reports increased sweating and weakness during the summer months.Which action by the nurse would be most appropriate?

The nurse receives a change-of-shift report on the following patients with chronic obstructive pulmonary disease (COPD).Which patient should the nurse assess first?